About this trial
The study's aim is to ascertain the best approach for providing sedation and pain management for patients who have sustained trauma and are requiring respiratory support from a mechanical ventilator. The common approach to patients who need mechanical ventilation is to provide continuous drips of sedatives and pain medicine and awaken the patient once a day to check the brain functions. Another approach is to provide pain medicine and reserve sedatives for only a short duration when needed. The difference between approaches has not been studied in Trauma patients.
Eligibility criteria
Qualifiers
≥ 18 years of age
Mechanically ventilated with an expected duration of MV ≥ 48h
Initiated continuous sedative/analgesic infusions by the ICU team
Patient is a candidate for MV weaning
Disqualifiers
Admission after resuscitation from cardiac arrest
Significant neurological deficit due to a chronic disorder
History of alcohol dependence and/or other illicit drug abuse
Prior administration of continuous sedative/analgesic from a transferring institution
Trial design
Treatments tested in this trial
- Analgesia First Sedation Strategy for Mechanically Ventilated (MV) Trauma Subjects
- Protocol Directed Sedation and Daily Sedation Interruption